Specific Stroke Interventions Across Settings

Question 1

when does stroke rehab typically begin following incident

Answer 1

72 hours
24 in some specialty units

Question 2

how much rehab must be tolerated in acute inpatient rehab

Answer 2

2+ disciplines of care for 3 hours/day 5-7 days/week

Question 3

how much rehab is typical in subacute setting

Answer 3

1+ hours of services 5 days/week

Question 4

goals and expected outcomes of rehab

Answer 4

monitor changes in associated recovery; reduce risk of secondary impairments and recurrence of stroke; maintain joint integrity and mobility; increase tolerance for OOB and WB; increase awareness of hemiplegic side and motor control; improve trunk control, symmetry and balance; increase strength, power, and endurance; improve functional independence; increase aerobic capacity and endurance; pt, family education; pt safety; determine discharge placement; increased sense of well being, prevent depression; awareness of community resources

Question 5

list factors that influence decision making for stroke interventions

Answer 5

Phase of stroke recovery (acute, post-acute, chronic)
Age of pt
Number of comorbidities
Social and financial resources
Discharge placement

Question 6

factors that influence prognosis

Answer 6

Advanced age
Profound neurological impairments
Decreased alertness, poor attention span, judgment and memory deficits, inability to learn new tasks
Persistent medical instability
Serious language disturbances
Social and economical problems
Environmental barriers